• Doctor
  • GP practice

Mrs Elaine Evans Also known as Foxleigh Family Surgery

Overall: Good read more about inspection ratings

The Bridgewater Medical Centre, Henry Street, Leigh, Lancashire, WN7 2PE (01942) 481800

Provided and run by:
Mrs Elaine Evans

Latest inspection summary

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Background to this inspection

Updated 21 November 2017

The practice of Mrs Elaine Evans also known as Foxleigh Family Surgery provides primary care services to its registered list of approximately 2319 patients. The practice is situated at The Bridgewater Medical Centre, Henry Street, Leigh.

There is one male GP and one long term female locum GP. They are supported by a practice nurse, a practice manager and team of administration staff.

The male life expectancy for the area is 77 years compared with the CCG averages of 77 years and the National average of 79 years. The female life expectancy for the area is 81 years compared with the CCG average of 81 years and the national average of 83 years.

The reception, waiting areas, consulting rooms and disabled toilet facilities are on the ground floor of the practice. There is level access into the building and easy access for those patients in wheelchairs or with pushchairs.

Patients requiring a GP outside of normal working hours are advised to contact the surgery by phone and they will be directed to the local out of hour’s service which is provided by Bridgewater NHS Foundation Trust through NHS 111. Additionally patients can access GP services on Saturdays and Sundays through the Wigan GP access alliance at locations across the borough.

The practice is situated within the geographical area of Wigan Clinical Commissioning Group.

Overall inspection

Good

Updated 21 November 2017

Letter from the Chief Inspector of General Practice

This is a focused follow-up inspection of the practice of Mrs Elaine Evans for areas within the key questions safe. We now found the practice to be good in providing safe services.

We carried out an announced comprehensive inspection at the practice of Mrs Elaine Evans on 31 March 2016. The rating for the practice was good. The full comprehensive report on the 31 March 2016 inspection can be found by selecting the ‘all reports’ link for Mrs Elaine Evans on our website at www.cqc.org.uk.

At our previous inspection on 31 March 2016, we rated the practice as requires improvement for providing safe services as the arrangements in place for managing the following issues were not adequate:

  • The practice did not have oxygen available in case of emergencies.

  • The practice did not have robust procedures and processes to make sure that patients are protected from harm.

In addition we identified the following issues the service should improve:

  • The systems to record and share learning from significant events and complaints should be improved.

  • The role of the infection control lead should be clarified to ensure regular practice led audits are undertaken.

  • All staff should be aware of practice specific policies, such as the whistleblowing policy.

In line with agreed timescales the practice supplied documentary evidence to demonstrate how they had improved their practices in relation to the overview of safety systems and processes since the last inspection.

At this inspection we found that sufficient improvement had been achieved to update the rating for provision of safe services to good. The practice had addressed the breaches of regulation and was now compliant with all regulations. This report covers our findings in relation to those improvements.

Our key findings were as follows:

  • Oxygen is now available to use in case of an emergency.

  • The practice has robust procedures and processes to protect patients from harm.

  • There are good systems to record information and track significant events and complaints.

  • The practice manager has the lead role for infection control to ensure that regular infection control audits are carried out.

  • Staff are aware of practice specific policies, such as the whistleblowing policy.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

People with long term conditions

Good

Updated 21 November 2017

The provider had resolved the concerns for safety identified at our inspection on 31 March 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

The specific findings on these groups can be found by selecting the ‘all reports’ link for the practice of Mrs Elaine Evans on our website at www.cqc.org.uk.

Families, children and young people

Good

Updated 21 November 2017

The provider had resolved the concerns for safety identified at our inspection on 31 March 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

The specific findings on these groups can be found by selecting the ‘all reports’ link for the practice of Mrs Elaine Evans on our website at www.cqc.org.uk.

Older people

Good

Updated 21 November 2017

The provider had resolved the concerns for safety identified at our inspection on 31 March 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

The specific findings on these groups can be found by selecting the ‘all reports’ link for the practice of Mrs Elaine Evans on our website at www.cqc.org.uk.

Working age people (including those recently retired and students)

Good

Updated 21 November 2017

The provider had resolved the concerns for safety identified at our inspection on 31 March 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

The specific findings on these groups can be found by selecting the ‘all reports’ link for the practice of Mrs Elaine Evans on our website at www.cqc.org.uk.

People experiencing poor mental health (including people with dementia)

Good

Updated 21 November 2017

The provider had resolved the concerns for safety identified at our inspection on 31 March 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

The specific findings on these groups can be found by selecting the ‘all reports’ link for the practice of Mrs Elaine Evans on our website at www.cqc.org.uk.

People whose circumstances may make them vulnerable

Good

Updated 21 November 2017

The provider had resolved the concerns for safety identified at our inspection on 31 March 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

The specific findings on these groups can be found by selecting the ‘all reports’ link for the practice of Mrs Elaine Evans on our website at www.cqc.org.uk.